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Organization

SOUTHERN SKY RECOVERY

Active
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Organization

SOUTHERN SKY RECOVERY

Active
Other names
Southern Sky Recovery
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHAN SHEPARD NCC, M ED, MHA (CEO)
(912) 536-3173
Entity
Organization

Contact information

Practice address
60 PENNINGTON DR, BLUFFTON, SC 29910-6037
(912) 536-3173
Mailing address
60 PENNINGTON DR, BLUFFTON, SC 29910-6037
(912) 536-3173

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
04/19/2022
Last updated
04/26/2024
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